Keita Janace Mallett
NPI #1326500448 in Hillside, Illinois
Provider Information
- NPI Number
- 1326500448
- Entity Type
- Individual
- Name
- Keita Janace Mallett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Apr 5, 2019
- Last Updated
- Apr 5, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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